General care
uninterrupted and smooth care delivery between setting
continuity of care
Most accurate I+O measurement
Daily weight
Sexually active, diaphragm contraceptive, post menopausal, diabetes, and elderly, catheter.
UTI risk factors
antibiotics, antipyretics, antihelminitics
potential tx of infection
Permanent/Irreversible, Lifelong duration, Exacerbations/remission
Manage, control, minimize impact of condition. Work towards high level of wellness without a 'cure'
chronic illness
patient is legally free to leave but must sign a release form after being informed of risks.
AMA
fluids, lifestyle, psychological variables, diseases, and medications.
factors affecting urination
TX/ prevention of UTI
may not exhibit elevated temperature or WBC count, with atypical findings such as agitation, confusion, and incontinence.
Older adults and infections
Influencing patient behavior to effect change in knowledge, attitude, and skills with the goal of improved health. (must be ongoing/interactive)
Pt education
Planning begins on admission, involves patients and families, includes necessary teaching and evaluation of care effectiveness.
Discharge Process
30 ml/hr and approximately 2400 ml/day.
expected adult urinary output
Food/fluids ingested (ie. fiber)
Activity/lifestyle, muscle tone
Psychologic variables (stress/anxiety)
Disease processes (Irritable Bowel, Crohn’s Disease , Ulcerative Colitis)
Medications: Opioids (constipation), antacids (change color), antibiotics(diarrhea)
Test preps, surgery, anesthesia
Bowel Elimination Patterns are affected by
All microorganisms are destroyed; avoid coughing, sneezing, and talking over a sterile field.
Surgical asepsis principles
storing and recalling of new knowledge in the brain
cognitive learning domain
Includes admission sheet as part of medical record, identification bracelet, interview and physical assessment, room preparation, inventory of personal belongings, and client orientation.
Information to include in the admission process
nvolves palpating over the access site to feel for a thrill or vibration.
check pulses
do not take BP or any sticks in this arm
hemodyalisis care
promote regular patterns, medications (suppositories, enemas), mobility, fluids, privacy, fiber, digital removal, bowel training program
Nursing interventions for alterations in GI functioning/elimination
interval between the pathogen entering the body and the presentation of the first symptom
Person is MOST infectious with vague and nonspecific signs of disease.
Presence of specific s/sx of disease
Recovery from the infection; total recovery could take days to months
Incubation
Prodromal stage
Full stage of illness
Convalescent period
Learning a physical skill
Psychomotor learning domain
Correctly create a senario using the nursing process
ADPIE
A catheter with a bend, used for males with an enlarged prostate.
A type of catheter used for intermittent drainage.
An intervention for urinary retention; it remains in place.
coude cath
straight cath
Indwelling cath
opioids/anesthesia
enlarged prostate
BPH
vaginal prolapse
factors related to urinary retention
Redness, Warmth, Edema, Pain/Tenderness, Loss of use of the affected part
Exudate leaves the body; Serous: clear; Serosanguineous: clear/bloody; Sanguineous: bloody; Purulent: thick/yellow/infection
Damaged tissue replaced by scar tissue; Gradually, new cells take on function and characteristics of old cells
stages of inflamation
Changing attitudes, beliefs, and feelings
Affective learning domain